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Timothy W Porcelli, LCPED
Orthotist in Chicago, Illinois
NPI 1699896431

Timothy W Porcelli is a Orthotist based in Chicago, IL. Timothy W Porcelli practices in Chicago, IL and has the professional credentials of LCPED. The NPI Number for Timothy W Porcelli is 1699896431 and holds a License No. (Illinois).

The current practice location address for Timothy W Porcelli is 3723 N Southport, Chicago, IL and can be reached out via phone at 312-409-2175.

Location: 3723 N Southport, Chicago, IL, 60613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699896431
Provider Name
Timothy W Porcelli
Credential
LCPED
Provider Entity Type
Individual
Gender
Male
Address
3723 N Southport, Chicago, IL, 60613
Phone Number
312-409-2175
Fax Number
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1670909 01 IL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
3723 N Southport
City
Chicago
State
Illinois
Zip
60613-3718
Phone Number
312-409-2175
Fax Number
person
Provider Business Mailing Address Details
Address
3723 N Southport
City
Chicago
State
Illinois
Zip
60613-3718
Phone Number
312-409-2175
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
(Illinois)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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